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目的:分析基层医疗卫生机构综合配套改革进展情况和机构运行状况,为国家完善相关政策提供依据。方法:通过抽样调查,对26省省级调研数据和629家基层医疗卫生机构调研数据进行描述性统计分析。结果:总结了基层医疗卫生机构综合配套改革及机构运行过程中取得的成效及存在的主要问题。结论:机构综合配套改革取得了一定成效,机构整体运行平稳,但仍存在许多问题。建议进一步深化基层医疗卫生机构综合配套改革,完善补偿机制,加强机构管理,加大基本药物宣传力度。
OBJECTIVE: To analyze the progress of comprehensive reform of primary health care institutions and the operation of institutions, and provide the basis for the improvement of relevant policies by the state. Methods: Through the sample survey, descriptive statistical analysis was made on the data of 26 provinces and the survey data of 629 primary health care institutions. Results: The comprehensive reform of primary health care institutions and the achievements and main problems in the operation of institutions were summarized. Conclusion: The comprehensive reform of the organization has achieved some success. The overall operation of the institution is stable but many problems still exist. It is suggested to further deepen the comprehensive reform of primary health care institutions, improve the compensation mechanism, strengthen the management of institutions and step up publicity of essential medicines.